| NPI | 1417386699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180008852) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180008852) |
| 101YM0800X Counselor Mental Health (Licence: IL 180008852) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-07-21 |